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在偏远地区工作的挑战汇报:澳大利亚联合健康专业人员对临床监督的看法的定性研究。

Debriefing about the challenges of working in a remote area: A qualitative study of Australian allied health professionals' perspectives on clinical supervision.

机构信息

School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia.

Cunningham Centre, Darling Downs Hospital and Health Service, Toowoomba, Queensland, Australia.

出版信息

PLoS One. 2019 Mar 14;14(3):e0213613. doi: 10.1371/journal.pone.0213613. eCollection 2019.

DOI:10.1371/journal.pone.0213613
PMID:30870484
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6417694/
Abstract

BACKGROUND

The benefits of clinical supervision are more pronounced for health professionals in rural and remote areas. Most clinical supervision studies to date have occurred in metropolitan centres and have used the survey methodology to capture participant experiences. There is a lack of qualitative research that captures participants' lived experiences with clinical supervision at the frontline.

METHODS

Participants were recruited from rural and remote sites of two Australian states using a purposive maximum variation sampling strategy. Data were collected through individual, semi-structured interviews with participants. Data were analysed using content analysis and themes were developed. Sixteen participants from six professions completed the interviews.

RESULTS

Eight themes were developed including the content of supervision, context of supervision, value of supervision, increased need for professional support and unique characteristics of rural and remote clinical supervision.

CONCLUSIONS

This study has highlighted the value of clinical supervision for the rural and remote health professional workforce. Furthermore, it has shed light on the unique characteristics of clinical supervision in this population. This information can be used by organisations and health professionals to ensure clinical supervision partnerships are effective thereby enhancing rural and remote workforce recruitment and retention.

摘要

背景

临床监督对农村和偏远地区的卫生专业人员的益处更为明显。迄今为止,大多数临床监督研究都发生在大都市中心,并使用调查方法来捕捉参与者的经验。缺乏定性研究来捕捉参与者在前线的临床监督的真实体验。

方法

使用有目的的最大变异抽样策略,从澳大利亚两个州的农村和偏远地区招募参与者。通过与参与者的个人、半结构化访谈收集数据。使用内容分析进行数据分析,并开发主题。来自六个专业的 16 名参与者完成了访谈。

结果

制定了八个主题,包括监督内容、监督背景、监督价值、对专业支持的需求增加以及农村和偏远地区临床监督的独特特征。

结论

本研究强调了临床监督对农村和偏远地区卫生专业人员的重要性。此外,它还揭示了农村和偏远地区临床监督的独特特征。这些信息可被组织和卫生专业人员用来确保临床监督伙伴关系的有效性,从而增强农村和偏远地区劳动力的招募和保留。

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本文引用的文献

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Aust Health Rev. 2019 Jan;43(6):682-688. doi: 10.1071/AH17258.
2
A systematic review of the factors that influence the quality and effectiveness of telesupervision for health professionals.系统评价影响卫生专业人员远程监督质量和效果的因素。
J Telemed Telecare. 2018 May;24(4):271-281. doi: 10.1177/1357633X17698868. Epub 2017 Apr 7.
3
When I say … clinical supervision.当我说……临床督导。
Med Educ. 2017 Sep;51(9):890-891. doi: 10.1111/medu.13258. Epub 2017 Feb 17.
4
A systematic review of evidence relating to clinical supervision for nurses, midwives and allied health professionals.对护士、助产士和专职医疗人员临床督导相关证据的系统评价。
J Adv Nurs. 2017 Aug;73(8):1825-1837. doi: 10.1111/jan.13253. Epub 2017 Feb 8.
5
Factors influencing the perceived quality of clinical supervision of occupational therapists in a large Australian state.影响澳大利亚一个大州职业治疗师临床督导感知质量的因素。
Aust Occup Ther J. 2016 Oct;63(5):338-346. doi: 10.1111/1440-1630.12314. Epub 2016 Aug 4.
6
Effectiveness of Clinical Supervision of Allied Health Professionals: A Survey.专职医疗人员临床督导的有效性:一项调查
J Allied Health. 2016 Summer;45(2):113-21.
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